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Organization
BRIAN P. KELLER DPM, INC
Active
Organization
BRIAN P. KELLER DPM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P KELLER DPM (PHYSICIAN OWNER)
(916) 434-6410
Entity
Organization
Contact information
Practice address
841 STERLING PKWY, 130, LINCOLN, CA 95648-7324
(916) 434-6410
(916) 434-6310
Mailing address
841 STERLING PKWY, 130, LINCOLN, CA 95648-7324
(916) 434-6410
(916) 434-6310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41851
—
CA
Enumeration date
10/18/2007
Last updated
02/04/2016
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